This D-SNP works with your Medicare and Medicaid benefits. It includes Medicare Advantage benefits and added benefits.
Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker counties
To be eligible for this plan, you must qualify for Medicare Parts A and B and Texas Medicaid QMB, QMB+, or SLMB
Your plan gives you added support for your health and daily needs.
| Benefit | 2026 amount | Use |
|---|---|---|
| Flex Card** | $125 each month. Funds do not roll over. | Groceries, rent, and utilities. Use it where debit cards are accepted. |
| OTC allowance | $100 each month. Funds do not roll over. | OTC items. Use it where debit cards are accepted or order online from NationsBenefits. |
| Dental | $3,500 each year | Covered dental care, such as dentures, crowns, and root canals |
| Vision | $250 each year | Glasses or contact lenses |
| Rides | 48 one-way trips each year | Plan-approved medical sites |
| Meals | 2 meals a day for 7 days | After a hospital stay |
| Hearing aids | $1,500 each year | Both ears combined |
| Telehealth | PCP video visits | Through Teladoc |
| Acupuncture | Up to 24 visits each year | Covered visits |
| Chiropractic care | Up to 24 visits each year | Covered visits |
| In-home support | 48 hours each year | Help with light cleaning, shopping, and technology |
| Prescription drugs | $0 copay | Tier 1 and Tier 6 drugs |
*The benefit information provided on this website is a brief summary for informational purposes only and is not a complete description of benefits. It is not a legal contract. For a full list of covered services, exclusions, cost-sharing, and comprehensive limitations, please review the plan’s official Evidence of Coverage (EOC).
**The Flex Card is a special supplemental benefit for members who qualify and have a chronic illness. Eligibility is not guaranteed. Other rules may apply. Funds do not roll over from month to month.
H9826_IT_10045_092919_M Last updated September 30, 2026
As a local nonprofit health plan, 糖心传媒 gives you plenty of reasons to join our 糖心传媒. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, 糖心传媒 is always working life forward for you and your family.
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鈥� Cecily
Member of 糖心传媒
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